NORTHERN CALIFORNIA MEDICAL ASSOC INC
NPI 1841774759
Surgery - Plastic and Reconstructive Surgery in Santa Rosa, CA

Active since September 18, 2018
4625 QUIGG DR, SANTA ROSA, CA 95409(707) 537-2111(707) 537-2119 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, Sep 18, 2018 (2 updates tracked since 2018).

About Northern California Medical Assoc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN CALIFORNIA MEDICAL ASSOC INC (NPI 1841774759) is a healthcare organization registered as a plastic and reconstructive surgery in Santa Rosa, California and active in the NPI registry since September 2018. The organization lists Sally A Dewald, Director Of Business Svcs, as its authorized official.

NPPES Registry Identity

NPI1841774759
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameNORTHERN CALIFORNIA MEDICAL ASSOC INC
Location Address4625 QUIGG DRSanta Rosa, CA 95409-5377
Mailing Address3536 Mendocino Ave Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Fax(707) 537-2119
Organization SubpartNo
Authorized OfficialSally A DewaldDirector Of Business Svcs · (707) 525-6485
Enumeration DateSeptember 18, 2018
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1841774759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X
4625 QUIGG DR, Santa Rosa, CA 95409

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
4625 QUIGG DR
SANTA ROSA, CA 95409
Nurse Practitioner (Family)
4625 QUIGG DR
SANTA ROSA, CA 95409
Specialist
4625 QUIGG DR
SANTA ROSA, CA 95409
Registered Nurse (Plastic Surgery)
4625 QUIGG DR
SANTA ROSA, CA 95409
Clinic/Center (Ambulatory Surgical)
4625 QUIGG DR
SANTA ROSA, CA 95409
Clinic/Center (Ambulatory Surgical)
4625 QUIGG DR
SANTA ROSA, CA 95409
Physician Assistant
4625 QUIGG DR
SANTA ROSA, CA 95409
Surgery
4625 QUIGG DR
SANTA ROSA, CA 95409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern California Medical Assoc Inc's NPI number?

The NPI number for Northern California Medical Assoc Inc is 1841774759. It was assigned to this organization in the NPPES registry on September 18, 2018.

Where is Northern California Medical Assoc Inc located?

Northern California Medical Assoc Inc is located at 4625 Quigg Dr, Santa Rosa, CA 95409. The listed phone number is (707) 537-2111.

What is Northern California Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Northern California Medical Assoc Inc was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.